- Aortic Aneurysm Surgery
- Balloon Valvuloplasty
- Cardiac Ablation Treatment
- Carotid Endarterectomy
- Carotid Artery Stenting
- Coronary Angiography
- Coronary Angioplasty
- Defibrillator Implant Surgery
- DOR Procedure
- Heart Bypass Surgery
- Open Heart Surgery
- Pacemaker Implantation
- Pediatric Cardiac Surgery
- Transmyocardial Revascularization
- Valve Replacement
About DOR Procedure in Türkiye
DOR procedure in Türkiye is a surgical procedure used in the treatment of heart failure resulting from a heart attack in the heart’s left ventricle. It is known as left ventricular reconstruction. The left ventricle is the lower left chamber of the heart liable for pumping blood into the aorta, which is the artery that supplies the body with oxygenated blood.
When a heart attack occurs scars forms in the ventricle. These scars can, over time, cause the wall of the ventricle to weaken, leading to the development of an aneurysm. A left ventricular aneurysm is a bulging site of tissue that causes your heart to work harder to pump blood. The increased stress on your heart eventually leads to enlargement and impaired pumping of the left ventricle. In Türkiye, the DOR procedure restores the ventricle to its normal, healthy shape by removing scar tissue and aneurysm. The DOR procedure improves the ventricle’s ability to pump blood effectively, which, in turn, improves the symptoms of heart failure
Different surgeons who have published their experiences use different names to describe the DOR procedure. Here are some other names that describe the same or a similar procedure:
Aneurysm repair surgery
Endoventricular circular patch plasty repair
Dor or modified Dor procedure (Vincent Dor who authored many articles on the procedure he began performing in the early 1980s)
Surgical ventricular restoration
Left ventricular infarct exclusion surgery
Left ventricular aneurysmectomy reconstruction
Surgical anterior ventricular endocardial restoration
DOR procedure is often performed in coordination with procedures to correct additional heart damage, namely mitral valve leaks and narrowed or blocked coronary arteries. DOR procedure is a complex procedure that is best performed by experts with special training.
Healthy Türkiye’s cardiac surgeons are highly experienced at performing ventricular reconstruction and have been doing the procedure for years in Türkiye. Additionally, our surgeons have developed improvements to the procedure, and have lectured around the world to share these advances in surgical technique. aa
What is DOR Procedure in Türkiye?
DOR procedure is a surgical procedure performed in Türkiye to treat congestive heart failure. If a heart attack occurs in the left lower chamber of the heart, scar tissue will form. Over time, this scar tissue can weaken and thin out to become an aneurysm an abnormal bulge of tissue. This aneurysm, in conjunction with other heart problems, can cause the heart to enlarge, reducing its ability to pump blood effectively, and resulting in heart failure.
In a DOR procedure, surgeons in Türkiye remove the part of the aneurysm scar tissue to reshape the heart and restore it to its normal, conical shape. Typically, a small patch is sewn into the place where the aneurysm once was and with the patch in place, surgeons sew tissue over the patch. Other procedures, such as valve repair or coronary artery bypass, may be performed during the DOR procedure.
Patients with ischemic cardiomyopathy and an akinetic (loss of movement) or dyskinetic (abnormal movement) anterior wall may be candidates for high-risk coronary bypass surgery with the DOR procedure in Türkiye. DOR procedure helps restore the normal geometry of the left ventricle, thereby improving symptoms of left ventricular failure and chest pain.
DOR procedure does not cure heart failure. The goal of the surgery is to help the heart improve. Its ability to pump blood effectively helps to reduce chest pain, shortness of breath, and other symptoms associated with heart failure. Before ventricular reconstruction surgery, the only option to help patients with large left ventricular aneurysms was heart transplantation.
Heart patients have a little cardiac reserve, and the surgical procedure is associated with high morbidity and mortality. The surgeon’s purpose in remodeling the left ventricle is to relieve the excess demand placed on viable functional myocardium by akinetic infarcted myocardium. However, the DOR procedure is successfully performed in Türkiye with the developing technology in the medical world.
Türkiye specializes in minimally invasive heart procedures. With innovative techniques, patients benefit from fewer complications, less scarring, greater comfort, and faster recoveries. Türkiye is distinguished as a leading heart and vascular institute with Healthy Türkiye for foreign patients you are also considering DOR procedure surgery, contact Healthy Türkiye now and plan your treatment in Türkiye with a free consultation and learn more.
Left Ventricular (LV) Reconstructive Surgery in Türkiye
In Türkiye, left ventricular reconstruction surgery is performed to repair a left ventricle that has been damaged during a heart attack. Heart attacks in the left ventricle weaken the tissue wall which forms scar tissue or an aneurysm. This situation causes the heart to work harder, and over time it enlarges and becomes an inefficient pump.
Left ventricular reconstruction surgery is open-heart surgery. Before performing the repair, the surgeon will connect the heart to a cardiopulmonary bypass, a heart-lung machine, which assumes the function of the heart and lungs. To keep the heart still, the heart is stopped so the surgeon can perform precise surgery on the heart without it beating. The heart-lung machine allows blood to continue circulating in the body while the left ventricular reconstruction surgery is performed in Türkiye.
During left ventricular reconstruction surgery (DOR procedure), a cardiothoracic surgeon makes an incision to remove the damaged areas. The purpose of this method is to restore or reshape the geometry of the heart, thus enabling it to be a more efficient pump. Depending on how much scar tissue is removed, various prosthetic materials can be used to reconstruct or re-shape the heart, in a way to fill in the sites of tissue that were removed. Given the small number of available and suitable donor hearts, transplantation is limited for the patients.
DOR procedure has repeatedly been suggested as a viable alternative in managing heart failure in select patients, as it is believed that surgically returning the ventricle to its original dimensions is possible and associated with favorable outcomes.
Good Candidate for DOR Procedure in Türkiye
DOR procedure is an operation designed to restore or remodel the left ventricle. In Türkiye, the DOR procedure is a surgical option in patients with coronary artery disease, postinfarction left ventricular aneurysm (LV aneurysm), or ischemic dilated cardiomyopathy with or without ventricular tachycardia. Not all patients with heart failure are eligible for DOR procedures in Türkiye. Patients who can benefit from left ventricular reconstructive surgery include patients who:
Have had a heart attack that resulted in an aneurysm or a scar in the left ventricle
Have symptoms of heart failure such as shortness of breath, fatigue, swelling, and others that are not relieved with medications and lifestyle changes
Have severe coronary artery disease with signs of angina
Have valve problems that require surgery
Some patients who have these conditions may also have ventricular tachycardia which is an abnormal heart rhythm originating in the left ventricle that makes it beat too quickly). Signs include passing out, feeling lightheaded, or feeling a rapid pounding in the chest.
If you have one or more of the conditions listed above, you may be a candidate for the DOR procedure in Türkiye. The surgeon will determine if the DOR procedure is an appropriate treatment for your condition.
Tests for DOR Procedure in Türkiye
Before the DOR procedure in Türkiye, you will need an MRI or PET can do to determine if you have enough healthy heart tissue to benefit from the surgery. Pictures of the heart are studied using sound frequencies, magnets, and a computer. This is the best-determining test for DOR surgical intervention.
Also, an echocardiogram will be needed to provide information about the pumping ability of your heart and how well your valves are functioning. ECHO uses sound waves and helps determine the size and efficiency of the heart.
Besides, you will also need to have a cardiac catheterization that is performed within one year of the surgery. For this procedure, routine blood tests, a chest X-ray, and an electrocardiogram will also be performed. A catheter is inserted through a puncture in the big artery of the groin and slowly navigated upwards towards the heart. An X-ray contrast medium is then injected through this tube. This procedure determines the efficiency of the heart’s blood vessels. Blockage appears as a sudden interruption of contrast media flow.
How Is DOR Procedure Performed in Türkiye?
In Türkiye, surgeons usually perform the Dor procedure following a coronary artery bypass graft. EVCPP consumes only approximately twenty minutes of the three to four-hour procedure.
To begin a basic remodeling, the surgeon makes an incision at the center of the defective area on the LV wall and removes blood clots and endocardial scar tissue. To restore the heart to its elliptical shape, an end ventricular suture is put in place. And a longitudinal tuck is made to return the cardiac apex from the posterior to the front.
Besides, the suture serves as guidance for the patch location. In Türkiye, the surgeon then inserts a balloon into the ventricular cavity to ensure the correct size and sutures a Dacron patch, deflating the balloon and removing it before complete closure. The non-viable fibrous tissue is pulled over the patch, and surgical glue is used to complete the closure.
When the lesion is placed on the anteroseptoapical wall of the heart, it will include the septum more extensively than the lateral wall. As a result, the suture is placed deep within the septum, and the new neck of the suture, which holds the Dacron patch, extends from the septum. When the lesion is placed on the posterolateral wall, a triangular patch is used and stabilized by the posterior mitral annulus. This placement of the lesion allows for mitral valve replacement to be conducted by the transventricular approach. So, the surgeon does not have to incise the atrium but rather can replace the valve through the already incised ventricle.
It is recommended that the patient be placed on a mild anti-coagulant after the operation to reduce the risk of blood clots. Sometimes surgeons suggest the use of stronger anti-coagulants.
After DOR Procedure in Türkiye
Depending on how quickly you recover, you can spend 5 to 7 days in the hospital after the DOR procedure in Türkiye. You can gradually increase your activity level during your hospital stay with the help of a cardiac rehabilitation specialist. During that time, your recovery should be accelerated.
To treat a severely abnormal heart rhythm, some patients may require an implantable cardioverter-defibrillator. You should discuss the details of the device and implantation procedure with your cardiologist if this is needed. Before you go home, you may undergo a test called an electrophysiology study to determine your heart rhythm.
The hospital will provide you with information about wound care, medications, warning signs to look for, and who to contact if you experience any problems after you leave the hospital. Fluids that have been started before the operation are continued post-surgery. You will be placed in a recovery or intensive care unit, hooked to oxygen and other devices that will monitor your heart and the lungs, as well as drainage from the operation site.
You will be given drugs, such as pain relievers and antibiotics. You will recover after a few days. During this time, you will be started on cardiac rehabilitation, a program that helps educate and counsel heart patients regarding exercise and healthy living after a cardiac event.
2023 Cost of DOR Procedure in Türkiye
The cost of a DOR procedure in Türkiye will depend on the type of treatment requested by your cardiologist and your Healthy Türkiye hospital of choice. You will receive a formal quotation price for your DOR procedure following your free consultation with one of our expert cardiologists.
DOR procedure and heart surgery in Türkiye is a cost-effective and successful test for all patients. However, the overall cost will depend on the technique used. Other factors such as the quality of the hospital, the surgeon’s experience, and whether other medical conditions need to be managed, will also influence the price.
With the augmentation of healthcare infrastructure and rapid advancement in the field of medical technology, the cost of cardiac surgery especially the DOR procedure in Türkiye is significantly lower than the other countries. This can attribute to highly skilled and trained medical teams, affordable costs in JCI and internationally accredited clinics and hospitals, and a reputed team of doctors with experience in conducting in Türkiye. The cost of the DOR procedures in Türkiye is as low as 40% of the cost of other countries.
Most of our patients are curious about the cost of a DOR procedure and what they can do to plan for that cost. A different type of treatment and test can be recommended by our doctors to achieve the results you have in mind, so the only way to know for sure what the cost will be is to contact Healthy Türkiye for a special free consultation. During this consultation, we’ll not only outline what costs are involved and provide you with a detailed DOR procedure plan.
Why Choose Türkiye for the DOR Procedure?
Türkiye is one of the top destinations for health tourism, today. Every year, thousands of foreign patients from various countries travel to this country for medical procedures. There are many reasons that can be attributed to the fame and popularity of the best hospitals in Türkiye. Turkish hospital healthcare team is well-trained in services to international patients. You can be sure, they are very helpful to all the patients in Türkiye.
The top hospitals in Türkiye have healthcare infrastructure and are equipped with the most updated versions of the latest new technology in medicine. Besides, there are many nationally and internationally accredited hospitals and clinics in Türkiye that are renowned referral medical centers. This sets a benchmark for the quality of care and standard of services at hospitals and clinics for others. Several of these are teaching hospitals, linked to Universities or research centers, so provide evidence-based care.
One of the important benefits of traveling to Türkiye for treatment is the affordable costs. International patients from other countries may save 60-70% on treatment and world-class hospitals ensure they don’t have to compromise on quality. The best doctors in Türkiye are internationally trained and experienced specialists who have advanced medicine. In Türkiye, doctors are updated with recent developments in their field of specialization and ensure effective care of each patient.
Healthy Türkiye for your DOR procedure in Türkiye provide a wide spectrum of services to ensure a hassle-free process for international patients.
All-Inclusive Package for DOR Procedure in Türkiye
Healthy Türkiye offers all-inclusive packages for DOR procedures in Türkiye at much lower prices. Extremely professional and experienced doctors and technicians carry out high-quality DOR procedures. The cost of the DOR procedures in European countries can be quite expensive, especially in the UK. Healthy Türkiye provides cheap all-inclusive packages for a long and short stay of DOR procedure in Türkiye. Because of many factors, we can provide you with many opportunities for your DOR procedure in Türkiye.
The price of the DOR procedure differs from other countries due to medical fees, staff labor prices, exchange rates, and market competition. You can save much more in the DOR procedures compared to other countries in Türkiye. When you purchase the DOR procedure all-inclusive package with Healthy Türkiye our healthcare team will present hotels for you to choose from. In DOR procedure travel, you will have the price of your stay included in the all-inclusive package cost.
In Türkiye, when you purchase DOR procedure all-inclusive packages through Healthy Türkiye, you will always receive VIP transfers. These are provided by Healthy Türkiye, which is contracted with highly qualified hospitals for DOR procedures in Türkiye. Healthy Türkiye teams will organize everything about the DOR procedure for you and have you picked up from the airport and safely brought to your accommodation. Once settled in the hotel, you will be transferred to and from the clinic or hospital for the DOR procedure. After your DOR procedure has been successfully completed, the transfer team will return you to the airport in time for your flight home. In Türkiye, all packages of DOR procedures can be arranged upon request, which relaxes the minds of our patients. You can reach out Healthy Türkiye for everything you need to know about dor procedure in Türkiye.
Frequently Asked Questions
SVR, also known as the Dor procedure, left ventricular reconstruction, and surgical anterior ventricular endocardial restoration (SAVER), is a procedure designed to restore the left ventricle to its normal, spherical shape and size in patients with akinetic segments of the heart.
LV aneurysms are manageable through medical treatment directed towards its complications with anticoagulation, surgical resection of an aneurysm in a large aneurysm, and valvular dysfunction.
Surgical ventricular restoration by means of the Dor procedure is a surgical option in patients with coronary artery disease, postinfarction left ventricular aneurysm, or ischemic dilated cardiomyopathy with or without ventricular tachycardia.
Rapid heart rate (tachycardia) in serious cases, can interfere with normal heart function and increase the risk of sudden cardiac arrest
The heart cells of people experiencing broken heart syndrome are stunned by the adrenaline and other stress. However, this gets better very quickly in most cases, often within weeks or just a few days. Most people don’t have scar tissue or damage.
Cardiac magnetic resonance imaging, using late gadolinium enhancement, is the gold-standard noninvasive method for the detection of focal myocardial fibrosis.
The heart is unable to regenerate heart muscle after a heart attack and lost cardiac muscle is replaced by scar tissue.
In a DOR procedure, surgeons remove part of the aneurysm scar tissue to reshape the heart and restore it to its normal, conical shape. Typically, a small patch is sewn into the place where the aneurysm once was. With the patch in place, the surgeon sew tissue over the patch.